| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,986 |
9,309 |
$853K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
974 |
972 |
$90K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,491 |
2,386 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
375 |
375 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
180 |
163 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
90 |
90 |
$8K |
| 99051 |
|
867 |
769 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
73 |
73 |
$162.48 |
| 90661 |
|
120 |
120 |
$0.45 |
| 96160 |
|
1,492 |
1,491 |
$0.09 |
| 90686 |
|
424 |
424 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90674 |
|
164 |
164 |
$0.00 |
| 90756 |
|
142 |
142 |
$0.00 |
| 90672 |
|
60 |
60 |
$0.00 |